General for Elders

Recently, our former president, Jimmy Carter, decided to stop his own life-sustaining treatments to receive at-home hospice care so he can spend his final days surrounded by family and friends. When I was serving as my father’s healthcare surrogate, I had to make the decision to enroll him in hospice services at the end of his life.Whether or not to enroll a family member in hospice care is an issue that many families face and it can be very confusing. Here is an article outlining what hospice is, how to find one, and also how to spot a hospice company that might be practicing some Medicare fraud:

When faced with a terminal illness or condition, more people than ever are choosing hospice care over starting or continuing expensive medical treatments. Hospice care is for patients who choose not to undergo specific treatments or when they are no longer effective.
Read more . . .

It’s February already, and today is another gloomy, drizzly day. As I’m writing this, it is getting close to February 28, the day when most people give up on their New Year’s resolutions. How are you doing with those resolutions?  I’m trying to stick with my resolution to go outside every day for 23 minutes, but days like today make it much more difficult to get out the door.
 
One resolution I would urge you to keep, is to get an Advance Directive for Healthcare, or help someone you are caring for complete one. Clients often get stuck because they don’t really know what care they might want at the end of life, or don’t know who should make the decisions about end-of-life care.
Read more . . .

We are now living in “The Sandwich Generation” era. The Sandwich Generation refers to those caregivers, generally between the ages of 45 and 59, who are caring for aging parents while also caring for young children or dependent young adult children.  

One of the issues facing many of those caregivers is how to pay for the aging parent’s long-term care needs.  Long-term care refers to ongoing assistance to meet some of the basic activities of daily living, such as bathing, eating, dressing, using the toilet, transferring from bed or chair, caring for incontinence or eating.  The type and cost of long-term care depends on the services necessary for the health and safety of the person.
Read more . . .

Last month, we introduced our year-long project to organize our estates.  How did you do? Did you check all the boxes?  As with most projects, sometimes getting started is the real goal, so give yourself a gold checkmark if you did anything to start getting your estate in order. 

This month, it is time to make sure we have legal documents in place to protect in case we become unable to make or communicate significant decisions about our healthcare or our finances.

Years ago, I had a potential client whose daughter called my office several times to make appointments for him to get his estate planning documents prepared.  As each appointment time approached, he called my office to cancel.

Adults, those persons who are over the age of 18, are presumed to have the legal right to make their own healthcare and safety decisions.  However, in the event that an adult cannot make or communicate healthcare decisions, there should be legal documents in place to allow someone to be a healthcare surrogate decision maker.   In Georgia, an adult who is able to understand what s/he is signing, can nominate an agent to make healthcare decisions for her/him for the time when s/he is not able to make such decisions.  The primary document for nominating that person is called an advance directive for healthcare. 

What is An Advance Directive for Healthcare?

An Advance Directive for Healthcare is a document in which you nominate an Agent to make healthcare decisions for you if you are not able to make or communicate those decisions for yourself.

In Georgia, a guardian is the term used for the person responsible for managing affairs related to the health and safety of the ward, while a conservator is responsible for the financial affairs of the ward. Ward is the term used for someone who has a guardian or conservator. The relationship of the guardian or conservator to the ward is similar to that of a parent to a minor child.

The judge of the probate court in the county in which the ward resides or can be found appoints guardians and conservators.

When a guardian or conservator is appointed, the ward loses many rights.

While we don’t believe that anyone should panic, we do want to encourage anyone with older or immuno-compromised loved ones to be prepared.

The CDC is encouraging everyone to have extra food and supplies on hand, in the event of sudden closures or quarantines. Please take the time to check on any seniors or people in your life who are ill/disabled to see if they need help getting things together. 

Key items to gather include:

• Prescriptions and any over-the-counter medications

• Those with breathing problems should ensure that any devices they use (nebulizer, oxygen) are working properly and they have enough medication on hand to power any devices.

• A two-week supply of food

• Drinks with electrolytes in the event the flu or another illness is contracted

• Nutrition drinks such as Ensure for seniors

• Lysol, disinfecting agents, and anti-bacterial soap

• Extra toilet paper

• Pet food for at least two weeks

• Adult diapers, feminine products, and any other necessary supplies

Finally, it’s a wise idea to make copies of your loved one’s insurance cards and make sure that you can put your hands on any Powers of Attorney and Healthcare Directives that would allow you to legally communicate with doctors and make financial and medical decisions on your loved one’s behalf.

As I write this, there have been two cases of COVID-19 identified in the Atlanta, Georgia area.  One of the victims recently returned from a business trip to Milan, Italy, where the outbreak of COVID-19 has reached over 2500 cases.

The death toll in the U.S. as of the morning of March 4, 2020, is 9, and the number of identified cases is more than 100.

My favorite hobby is reading and I try to combine my love of reading with my profession of estate planning.  The plots of some of my favorite books are about dysfunctional family relationships complicated by really bad estate planning!

Here are three books I recommend where siblings were torn apart by their parents’ bad estate planning choices.

The Nest

by Cynthia D’Aprix Sweeney

The four siblings of the Plumb family - Leo, Melody, Beatrice, and Jack- are the beneficiaries of a trust fund they call “The Nest” left to them by their father. The terms of the trust provide that the trust assets will be distributed equally to the four siblings when the youngest, Melody, reaches age 40.

When the book begins, Melody is fast-approaching her 40^th birthday, and each of the siblings is anxiously awaiting the distribution that could solve their self-inflicted life problems.

There are not enough hours in the day – a familiar phrase I mutter to myself while trying to accomplish the items on my ever-expanding to-do list.  That phrase may really be true for those caring for a family member with disabilities. 

Although I haven’t found a way to add hours to my day, I have found ways to extend the time available for learning new things.  I’ve discovered that I can listen to podcasts and books while doing tasks that require my physical -but not necessarily my mental – presence. 

I listen to podcasts when I’m running, doing laundry or cooking, or while I’m wandering around Trader Joe’s picking up groceries.

To help your parents get their affairs in order, you should first make sure that you or someone trustworthy has the legal ability to manage your parent’s affairs.  This article is a guide to the four fundamental legal documents you and your parent may need in order to get financial affairs in order.